Cyrkowicz A, Przybycień J
Oddziału Ginekologiczno-Połozniczego Wojewódzkiego Szpitala Zespolonego w Tarnowie.
Pol Merkur Lekarski. 1997 Feb;2(8):148-51.
Intra-uterine fetal death may seriously affect maternal health and implies considerable risk of maternal death, especially when clotting and septic disorders arise. Management od IUFD should include removal of the triggering mechanism for DIC, antiinfectious prophylaxis and consider prompt evacuation of uterus. Low-dose heparin therapy is safe and offers sufficient protection against coagulopathy associated with IUFD. Treatment with low-dose aspirin, steroids or substitutive ACTH therapy is useful for patients with a poor obstetrical outcome. Etiopathology of IUFD, complications, methods terminating of the pregnancies has also been presented.
胎儿宫内死亡可能会严重影响母亲的健康，并意味着存在相当大的母亲死亡风险，尤其是在出现凝血和感染性疾病时。胎儿宫内死亡的处理应包括消除弥散性血管内凝血（DIC）的触发机制、抗感染预防措施，并考虑及时清空子宫。低剂量肝素治疗是安全的，并且能为预防与胎儿宫内死亡相关的凝血病提供足够的保护。对于产科结局较差的患者，使用低剂量阿司匹林、类固醇或替代促肾上腺皮质激素（ACTH）治疗是有效的。文中还介绍了胎儿宫内死亡的病因、并发症以及终止妊娠的方法。
